<div class="pageContent">

	<form method="post" action="__URL__/insert/navTabId/__MODULE__/callbackType/closeCurrent" class="pageForm required-validate" onsubmit="return validateCallback(this, dialogAjaxDone)">
	    <input type="hidden" name="username" value="<?php echo $_SESSION['username'] ?>"/>
	    <input type="hidden" name="depid" value="{$depid}" > 
	    <input type="hidden" name="btime" value="<?php echo date('Y-n-j H:i:s')?>" > 
		<div class="pageFormContent" layoutH="58">
			<div class="unit">
				<label>借款金额：</label>
				<input type="text" class="required alphanumeric"  name="bcount" max="{$max}" alt="您最多可以借款{$max}">
			</div>
			<div class="unit">
				<label>事由：</label>
				<textarea name="reason" cols="56" rows="3"></textarea>
			</div>
			<div class="unit">
				<label>备注：</label>
				<textarea name="note" cols="56" rows="3"></textarea>
			</div>
		</div>
		
		<div class="formBar">
			<ul>
				<li><div class="buttonActive"><div class="buttonContent"><button type="submit">保存</button></div></div></li>
				<li><div class="button"><div class="buttonContent"><button type="button" class="close">取消</button></div></div></li>
			</ul>
		</div>
	</form>

</div>

